Hospital Costs > In Louisiana > Desoto Regional Health System, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 18 | 171 / 34 | $10.132,20 | 255 / 12 | $5.692,50 | 1475 / 33 | $4.695,17 | 1468 / 41 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 32 | $10.437,20 | 125 / 6 | $6.205,69 | 1396 / 34 | $5.376,15 | 1391 / 37 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 34 | $13.378,80 | 208 / 7 | $7.172,12 | 1107 / 25 | $6.345,24 | 1102 / 29 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 13 | $10.566,00 | 297 / 9 | $4.860,48 | 1091 / 22 | $3.818,83 | 1082 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 37 | $7.686,29 | 79 / 6 | $4.970,64 | 1357 / 23 | $4.017,50 | 1346 / 34 |
| Heart Failure & Shock W Cc | 24 | 254 / 43 | $10.965,20 | 192 / 8 | $6.221,71 | 1126 / 26 | $5.391,04 | 1124 / 33 |
| Heart Failure & Shock W Mcc | 14 | 270 / 44 | $19.573,20 | 404 / 10 | $9.718,00 | 1491 / 43 | $9.027,71 | 1487 / 45 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 33 | $9.539,50 | 246 / 10 | $5.226,25 | 1467 / 34 | $4.320,25 | 1458 / 36 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 33 | $8.093,47 | 156 / 9 | $4.605,88 | 1037 / 20 | $3.677,88 | 1034 / 24 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 33 | $14.248,20 | 472 / 12 | $6.440,93 | 1644 / 38 | $5.663,79 | 1637 / 44 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 32 | $10.938,90 | 305 / 8 | $4.707,75 | 1339 / 18 | $4.110,42 | 1331 / 38 | Total 11 procedures | 218 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.